Miss Shalonda Dallett Carlisle, LCSW in Jackson, MS

Miss Shalonda Dallett Carlisle, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Jackson, Mississippi. Her current practice location is 3975 I 55 N Apt T3, Jackson, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 383-1076.

Miss Shalonda Dallett Carlisle is licensed to practice in Mississippi (license number C5788) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1124462965.

Contact Information

	Miss Shalonda Dallett Carlisle, LCSW
	3975 I 55 N Apt T3, Jackson, MS 39216-3726
	(601) 383-1076
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Miss Shalonda Dallett Carlisle
Gender	Female
Speciality	Social Worker - Clinical
Location	3975 I 55 N Apt T3, Jackson, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124462965
Provider Enumeration Date: 04/23/2013
Last Update Date: 04/23/2013

Medicare PECOS Information:

PECOS PAC ID: 9537430327
Enrollment ID: I20190530002580

Medical Identifiers

Medical identifiers for Miss Shalonda Dallett Carlisle such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124462965	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	C5788 (Mississippi)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Miss Shalonda Dallett Carlisle allows following entities to bill medicare on her behalf.

Entity Name	Carlisle Counseling And Consulting Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598327652 PECOS PAC ID: 0446685036 Enrollment ID: O20200108000638

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Miss Shalonda Dallett Carlisle is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Miss Shalonda Dallett Carlisle, LCSW 3975 I 55 N Apt T3, Jackson, MS 39216-3726 Ph: (601) 383-1076	Miss Shalonda Dallett Carlisle, LCSW 3975 I 55 N Apt T3, Jackson, MS 39216-3726 Ph: (601) 383-1076

Reviews and Comments

Social Worker in Jackson, MS

Ms. Sue Ann Meng, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2500 N State St, Umc Dept Of Geriatrics Annex1, Jackson, MS 39216 Phone: 601-984-5642 Fax: 601-984-5783
Ms. Jennifer Carolyn Skinner, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 350 North Mart Plaza, Suite M, Jackson, MS 39206 Phone: 601-362-8850 Fax: 601-981-0452
Mrs. Molly Willis Hoke, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1500 E Woodrow Wilson Ave, Jackson, MS 39216 Phone: 601-352-4471 Fax: 601-364-1246
Ms. Dawn Clarke, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1575 Carsley Rd, Jackson, MS 39209 Phone: 601-940-1818 Fax: 601-376-2639
Ebony Thomas, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1850 Chadwick Dr, Jackson, MS 39204 Phone: 601-421-9720
Cinder Henry, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1286 W Northside Dr Ste A, Jackson, MS 39213 Phone: 601-398-4388
Lindsey Timm Davidson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 200 N Congress St, Suite 100, Jackson, MS 39201 Phone: 601-355-8634

Miss Shalonda Dallett Carlisle, LCSW - Medicare Clinical Social Worker in Jackson, MS